Mining rich health data from Canadian physician claims: features and face validity

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Improving Fraud and Abuse Detection in General Physician Claims: A Data Mining Study

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improving fraud and abuse detection in general physician claims: a data mining study

background we aimed to identify the indicators of healthcare fraud and abuse in general physicians’ drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse.   methods we applied data mining approach to a major health insurance organization dataset of private sector general physicians’ prescription claims. it involved 5 ste...

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Improving Fraud and Abuse Detection in General Physician Claims: A Data Mining Study.

BACKGROUND We aimed to identify the indicators of healthcare fraud and abuse in general physicians' drug prescription claims, and to identify a subset of general physicians that were more likely to have committed fraud and abuse. METHODS We applied data mining approach to a major health insurance organization dataset of private sector general physicians' prescription claims. It involved 5 ste...

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ژورنال

عنوان ژورنال: BMC Research Notes

سال: 2014

ISSN: 1756-0500

DOI: 10.1186/1756-0500-7-682